- Cognizant (Raleigh, NC)
- …Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,...Based on this role's business requirements, this is a remote position open to qualified applicants in United States.… more
- Centene Corporation (Raleigh, NC)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... competitive benefits including a fresh perspective on workplace flexibility. POSITION IS REMOTE WITH POTENTIAL FOR WEEKEND AND HOLIDAY ROTATIONS**'** MUST HOLD NORTH… more
- UNC Health Care (Goldsboro, NC)
- …as needed. 3. Works with Clinicians and Coders to successfully implement documentation review for MS-DRG and AP-DRG payers on assigned Hospital Units. 4. Utilizes ... in Clinician documentation, and to formulate and generate clear, compliant and concurrent questions to those Clinicians. 5. Utilizes inpatient admission criteria to… more
- GE Vernova (Wilmington, NC)
- …oversight of suppliers thru procurement and construction to develop, perform, and review unit, module, system, and integration test plans, procedures, and reports ... Engineer-Procure-Construct (EPC) partner(s), and suppliers. + Perform detailed oversight, review , and verification of deliverables from suppliers to ensure their;… more
- GE Vernova (Wilmington, NC)
- …regulatory certification or licensing document preparation, + Perform technical oversight, review , and verification of deliverables from suppliers to ensure their ... Vernova Nuclear Energy Headquarters in Wilmington, NC; but highly qualified (US based) remote candidates will be considered. + This role requires access to US… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …monitoring, oversees all Clinical Services (CS) functions (prior authorization, concurrent review , appeals, case management, disease management, population ... Management and Population Health divisions. The position can be remote , or on-site our New York or New Jersey....oversees all Workers' Compensation (WC) Case Management and Utilization Review (UR) Programs. + Collaborates with the Chief Medical… more
- BrightSpring Health Services (Conover, NC)
- …Registered Professional Nurse + Excellent communicator with ability to handle concurrent tasks and responsibilities + Ability to travel within assigned area + ... meetings + Chairing committees as appropriate, safety, infection control, incident review , and human rights committees + Facilitating communication and serving as… more
Recent Jobs
-
Senior Caregiver - Weekend Shifts
- Home Care Assistance of Greater Burlington (Underhill, VT)
-
Civil Engineer - Aviation & Federal (Hawaii)
- Burns & McDonnell (Honolulu, HI)
-
Research Scientist/Scholar I, II, III or Senior - Open Pool
- Colorado State University (Fort Collins, CO)